| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.17(b) | The self-assessment completed 9/06/2022, was last updated in 2018 and did not include all of the regulations. | The agency shall use the Department's licensing inspection instrument for this chapter to measure and record compliance. | The Snr. Dir. of IDD provided the LS Specialists with the current / correct self-assessment form and older versions of the form have been discardedas of 3/10/23. The LS Specialists will re-do the self-assessments for all licensed homes on the new forms by 7/31/23. |
03/10/2023
| Implemented |
| 6500.151(e)(5) | Individual #1's assessment completed 10/27/2022 states she is not currently self-medicating and Life Sharing Provider #1 states this is incorrect, and the individual does self-administer her medication independently. | The assessment must include the following information: The individual's ability to self-administer medications. | An email was sent to the SC on 3/16/23 requesting a team meeting as soon as possible, to review the individual's abilty to self administer medications. If it is determined that she is able to self-administer, the assessment and ISP will be revised to reflect this. If not, the LS Caregiver will be instructed to follow the med. admin regulations (starting no later than 4/1/23 if needed). |
04/01/2023
| Implemented |
| 6500.183 | During the inspection conducted 3/10/2023, Individual #1's current assessment was not kept in the home. | Copies of the most current record information required in §6500.182(c)(1)¿(14) (relating to individual records) shall be kept in the family living home. | The current assessment and ISP will be provided to the LS Caregiver along with a letter reminding them that all client records must be kept in a locked and secure location within their home on 3/20/23. |
03/20/2023
| Implemented |
| 6500.135(g) | Individual #1's psychiatric medication reviews completed 5/09/2022, 6/27/2022, 8/08/2022, and 1/25/2023 did not include the physician's signature and credentials. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review by a licensed physician at least every 3 months to document the r reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The client physical form was updated to include space and a prompt for the name and credentials of the person reading and recording the results of the individual's TB tests on 3/17/23. This new physical form will be distributed to all LS Caregivers at the next monthly home visits and the LS Specialist will inform them of the regulation and will confirm that previous versions of the client physical form are discarded. |
03/17/2023
| Implemented |
| 6500.152(c) | Individual #1's individual support plan, last updated 2/22/2023, states the life sharing providers will ensure medications are administered and that for the following medications the individual does not self-medicate: Amlodipine Besylate, Prilosec, Risperidone, and Benztropine Mesylate. Life Sharing Provider #1 states this is incorrect and that the individual is able to independently self-administer all medications. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | LS Caregivers will be reminded via letter on 3/22/23 that documenation for all medical appointment must be signed by the medical professional. |
03/22/2023
| Implemented |